Bledsoe Sarah E, Rizo Cynthia F, Wike Traci L, Killian-Farrell Candace, Wessel Julia, Bellows Anne-Marie O, Doernberg Alison
University of North Carolina at Chapel Hill, School of Social Work, 325 Pittsboro Street, Chapel Hill, NC 27599-3550, USA.
University of North Carolina at Chapel Hill, School of Social Work, 325 Pittsboro Street, Chapel Hill, NC 27599-3550, USA.
Women Birth. 2017 Oct;30(5):e248-e257. doi: 10.1016/j.wombi.2017.02.006. Epub 2017 Mar 18.
Adolescent mothers and their children are at high-risk for depression and the associated negative educational, social, health, and economic outcomes.
However, few pregnant adolescent women with depression receive psychiatric services, especially low-income or racial/ethnic minority adolescent women.
This qualitative study explores perceptions of depression, psychiatric services, and barriers to accessing services in a sample of low-income, pregnant racial/ethnic minority adolescent women. Our goal was to better understand the experiences of depression during pregnancy for these vulnerable adolescent women, and thereby improve their engagement and retention in services for perinatal depression.
We recruited 20 pregnant adolescent women who screened positive for depression from 2 public health prenatal clinics in the southeastern United States. Participants were low-income and primarily racial/ethnic minority women between 14 and 20 years old. Data were collected through individual in-depth, ethnographically informed interviews.
Generally, participants lacked experience with psychiatric services and did not recognize their symptoms as depression. However, participants perceived a need for mood improvement and were interested in engaging in services that incorporated their perspective and openly addressed stigma.
Participants reported practical and psychological barriers to service engagement, but identified few cultural barriers. Family perceptions of psychiatric services served as both a barrier and support.
Adolescent women are more likely to engage in psychiatric services if those services reduce practical and psychological barriers, promise relief from the symptoms perceived as most meaningful, and address underlying causes of depression. Culture may affect Latina adolescent women's perceptions of depression and services.
青少年母亲及其子女面临抑郁症以及相关负面教育、社会、健康和经济后果的高风险。
然而，很少有患抑郁症的怀孕青少年女性接受精神科服务，尤其是低收入或少数族裔青少年女性。
这项定性研究探讨了低收入、怀孕的少数族裔青少年女性样本对抑郁症、精神科服务以及获得服务的障碍的看法。我们的目标是更好地了解这些脆弱的青少年女性在孕期的抑郁经历，从而提高她们参与围产期抑郁症服务并持续接受服务的程度。
我们从美国东南部的2家公共卫生产前诊所招募了20名抑郁症筛查呈阳性的怀孕青少年女性。参与者为低收入人群，主要是年龄在14至20岁之间的少数族裔女性。通过基于人种学的个人深度访谈收集数据。
总体而言，参与者缺乏精神科服务的经历，且未将自己的症状视为抑郁症。然而，参与者意识到需要改善情绪，并对参与能纳入她们观点且公开解决耻辱感问题的服务感兴趣。
参与者报告了参与服务存在实际和心理障碍，但几乎未发现文化障碍。家人对精神科服务的看法既是障碍也是支持。
如果精神科服务能减少实际和心理障碍、有望缓解被认为最有意义的症状并解决抑郁症的根本原因，青少年女性更有可能参与此类服务。文化可能会影响拉丁裔青少年女性对抑郁症和服务的看法。
